Dialectical Beahvioural Therapy (DBT) Group or Individual

WHAT IS DBT?
Dialectical Behavior Therapy (DBT) is designed to help people with longstanding or complex difficulties with mood and anxiety, which restricts living an active and satisfying life. DBT is an effective treatment program for individuals with self-destructive behaviors (i.e. overdosing, anger outbursts and self-mutilation), borderline personality disorder and serious difficulties dealing with emotions, anger control, impulsive acting out behaviors, relationship conflicts, fragile self-esteem and a chronic sense of emptiness. DBT is an intense treatment program for serious problems.

WHO CAN RECEIVE DBT?
_ Diagnosed with Borderline Personality Disorder
_ A history of suicidal behaviors
_ Experiencing therapy interfering behavior
_ Capacity to learn new skills
_ Have a commitment to change

REFERRAL REQUIRMENTS
No medical referral required. Client can self-refer.

PRE-TREATMENT
Three 1-hour assessment sessions to determine suitability for the client to join the program.
Two 1-hour orientation sessions after assessment sessions to ensure the client has a clear understanding of the DBT program to ensure success. Orientation sessions include communicating assessment findings and treatment formulation, the DBT perspective on emotional and behavioral dysregulation and understanding the treatment plan. In addition, we will discuss using daily diary cards, weekly homework assignments, daily mindfulness practice for 6 months (additional 6 month extension if necessary)
and commitment contract to participate and complete the DBT program. For clients who are unable to make the needed commitment for the time and work involved in the DBT program for any reason, another treatment plan will be recommended.

DBT Program
Weekly 1-hour individual psychotherapy sessions and 2-hour skills training group. Individual DBT sessions focuses on an individual’s current problem solving behavior. Self-injury and suicidal behaviors take first priority, followed by behaviors which interfere with the therapy process. Individual sessions will focus on decreasing and dealing with posttraumatic stress responses; helping enhance ones self-respect and selfimage; primary coping and relationship skills. DBT skills training group consist of
four modules that are designed to specifically assist individuals in better managing behavioral, emotional and cognitive instability. Their intent is to help people experiencing problems with anger,
episodic depression, irritability, anxiety, intense or chaotic relationships, impulsivity, stress and
feelings of emptiness. New skills are presented each week and homework is assigned each week for practice between sessions.

Bi-weekly family and friend’s group sessions and phone coaching as needed. Assist family and friends to support the change process, ease distress in relationship, promote effective problem solving. The goals in Family and Friends Group sessions include:
_ Learning about the DBT perspective on emotional and behavior dysregulation and the treatment process
_ Learning new methods for communicating with your loved one
_ Learning new coping skills based on DBT
_ Learning how to validate emotional responses by applying DBT skills
_ Redeveloping trust to support your loved one seeking appropriate treatment that will enable
him/her to lead a life worth living